HomeMy WebLinkAbout2011 N Grandview AveCITY OF SANFORD PERM1"1' APPLICATION
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istoric District: Zoning:
h e/ Total Squa/r e Footage
Value ofLy.41-'9 Y t,/
rmit Type:'BmfdinnJ -/ Electrical . Mechanical Plumbing Fire Sprinkler/Alarm Pool
ectrical: New Service - H of AMPS Additio+t/Alteration Change of Service Temporary Pole
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
umbing/ New Commercial: q of Fixtures I1 of Water & Sewer Linesq of Gas Lines umbing/
New Residential: p of Water Closets Plumbing Repair - Residential or Commercial _ cupancy
Type: Residential Commercial Industrial instruction
Type: N of Stories: N of Dwelling Units: _ Flood Zone: (FEMA form required) racersNamcA_
Addws; % /- a_/
alractor
Name & Address: one &
Fax: ailing
Company: dress:
rrtgage
Leader: dress:
chitecVEngincer
dress:
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State
License Number: Contact
Person: Phone: Phone
Fax:
plication
is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to Ilse ance
of a permit and dim all work will be performed to meet standards of all laws regulating construction in this jurisdiction. f undersland that a separate mit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOL, FURNACES, BOILERS, HEATERS, TANKS, and t
CONDITIONERS, etc. NER'
S AFFIDAVIT: I certify that all of the foregoing information is accurate and Utat all work will be done in compliance with all applicable laws regulating islruction
and zoning WARNING TO OWNER: YOUR FAILURE- TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING fICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENI'. TICE:
In addition 10 the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of county,
and there may be additional permits required from other governmental entities such as water management districts, stale agencies, or federal agencies. eptance
of peggjt is verification t f 1 J*ill notify the o}vtfcr of the open of the requirements of Florida Lien Law, FS 713. 7
L Signaturc
of Notary -State of lorida Date 44
DEBBIE 13LANTOU MY
COMMISSION # DD 188491 Owns/
eat is IXPI ES: February 25, 2007 AgProduced
ID 01°eu+M Awm. Co. ROVALS:
ZONING: LF IL: FD: cial
Conditions: 03/
2006 Signature
of Contraclot/Agew Print
Contractor/Ageni's Name Signature
of Notary -State of Florida Date
Date
Contractor/
Agent is _ Personally Known to Produced
ID ENG:
BLDG: 0
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $75,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform the work being done. Any person working
on your building who is not licensed must work under your direct supervision and must be employed by
you, which m s that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that empl yee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, uilding codes, des, d zonin regulations.
do hereby state that I am qualified and capable of performing the
permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure. !l
l z z , vG
Owner/Buil er igna
ate00
Print Owner/Builder Name
of
Owner is Personally
Produced ID
W)WEBBIE BLANTONMMISSION # OO 18MI
EXPIRES: February25.2007
I-OD04-NOTARY FL NrA-Y OMCounl AeaaC. CO.